RCM Service Manager

🔥 4 minutes ago

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Logo of EverCommerce

EverCommerce

1001 - 5000 employees

Founded 2016

☁️ SaaS

🤝 B2B

🛍️ eCommerce

💰 Private Equity Round on 2019-07

SaaS • B2B • eCommerce

EverCommerce is the leading service commerce platform, providing vertically-tailored, integrated SaaS solutions to over 500,000 global service-based businesses. Established in 2016, EverCommerce offers software solutions that help businesses market their services, streamline day-to-day operations, and enhance customer engagement. The company specializes in powering the service economy with digital transformation across multiple industries, including Home & Field Services, Health Services, and Fitness & Wellness. EverCommerce's technology aims to accelerate growth, improve operations, and increase retention for small and medium-sized businesses, transforming the way they interact with customers through modern digital and mobile applications.

📋 Description

• Serve as the primary point of contact for assigned RCM clients. • Lead recurring client meetings focused on performance, trends, action plans, and overall account health. • Build trusted relationships through proactive communication, responsiveness, and strategic guidance. • Manage escalations professionally and drive timely resolution. • Support client renewals, plan changes, provider adds/removals, and other account transitions. • Own clinic revenue cycle KPI performance, including but not limited to: Days in Accounts Receivable AR Aging >90 Days Clean Claim Rate Denial Rate First Pass Resolution / Payment Rate Collection Performance. • Identify root causes impacting financial performance and recommend solutions. • Develop action plans to improve collections, reduce aging, and optimize workflows. • Monitor payer trends, reimbursement patterns, denials, and operational risks. • Partner with claims, billing, coding, posting, and vendor teams to ensure execution is timely, accurate, and aligned to client goals. • Coordinate internal stakeholders to resolve blockers and improve workflows. • Ensure system configurations and billing parameters support accurate claim submission and payment maximization. • Maintain strong awareness of clearinghouse operations, eligibility workflows, claim status tools, and payer processes. • Prepare and present monthly and quarterly business reviews to clients. • Analyze trends, financial outcomes, and operational performance using reporting tools and dashboards. • Provide executive summaries and recommendations to leadership as needed. • Ensure adherence to HIPAA privacy and security standards. • Maintain awareness of Medicare, payer, and revenue cycle regulatory changes. • Document workflows, protocols, and best practices for internal consistency and scalability. • Participate in ongoing training and professional development.

🎯 Requirements

• Minimum 3+ years of experience in healthcare account management, revenue cycle management, or medical billing operations. • Experience in outsourced billing, multi-specialty, or multi-client healthcare environments preferred. • Strong client-facing experience with ability to manage relationships and escalations. • Working knowledge of medical billing, coding, front office workflows, payer reimbursement, and physician practice operations. • Strong understanding of Medicare, commercial insurance, HMOs, PPOs, and HIPAA regulations. • Excellent analytical, organizational, and problem-solving skills. • Advanced Microsoft Excel skills including formulas, pivot tables, lookups, conditional formatting, and data analysis. • Experience with EHR / PM systems and healthcare technology platforms. • Experience using Salesforce, Zoom, and Google. • Strong project management and follow-through skills. • Data-driven mindset with strong business acumen. • Excellent written, verbal, and presentation communication skills.

🏖️ Benefits

• Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid • Continued investment in your professional development • Day 1 access to a robust health and wellness benefits package, including an annual wellness stipend. • 401k with up to a 4% match and immediate vesting • Flexible and generous (FTO) time-off • Employee Stock Purchase Program

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